EC

EVA CAPPELLO

CE352814 · 11/15/1937 · Updated 02/17/2026
On Hold PF
Basic Information
Patient Record Number: CE352814
Date of Birth: 11/15/1937
Age: 88
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 02/17/2026 07:31 PM
Contact Information
Mobile Phone: (708) 456-5754
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 12/08/2023
Address Information
2526 N. 74th Ave.
Second Floor
Elmwood Park, IL 60707
Coordinates: 41.9263246, -87.8115119
Home Health Nurse
ESPERANZA HOME HEALTH CARE
Phone: 708-452-7612
Fax: 773-562-0755
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Certifications
08/15/2023 - 10/13/2023
Expired
SOC: 06/16/2023
Discharge History
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No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
08/15/2023 10/13/2023 Expired N/A SOC: 06/16/2023
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 288111d0-c148-4d57-b...
Linked At: 02/16/2026 14:48
Stored Transcripts

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Encounter History
Date Type Provider Chief Complaint Status Actions
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Total Claims

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Total Paid

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Denials

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Payment Rate
Remittance Claims
Service Date Procedure Provider Billed Allowed Paid Status Remit Date
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Patient On Hold
Hold Reason: no poc
Hold Since: 07/03/2025
Hold Until: Indefinite